Kodi pali wina m'banja mwanu, kapena munthu amene mumamudziwa, amene wakhala ndi nthenda ya nkhuku ndipo anayenera kukhala pafupi naye? Kawirikawiri nthenda ya nkhuku imakhala yofatsa ndipo imatha yokha. Koma kwa anthu ena, monga amayi apakati, anthu omwe akulandira chithandizo cha khansa, kapena anthu omwe ali ndi chitetezo chamthupi chofooka, nthenda ya nkhuku imatha kukhala yoopsa kwambiri. Pazochitika zoopsa kwambiri ngati zimenezi, tikulankhula za njira zapadera zodzitetezera zomwe zingachepetse kuopsa kwa nthenda ya nkhuku.
Mwachidule, kodi mankhwala awa ndi chiyani?
Dzina la mankhwalawa ndi Varicella-Zoster Immune Globulin . Ndi dzina lalitali pang'ono, sichoncho? Tiyeni timvetse izi mosavuta. Tangoganizani kuti nkhuku ndi mdani amene amabwera m'thupi lathu. Kuti tithane ndi mdani uyu, thupi lathu lili ndi gawo longa asilikali. Amenewo ndi ma antibodies. Koma mwa anthu ena, asilikaliwa sakwanira, kapena ndi ofooka.
Panthawiyo, mankhwalawa amapangidwa pophatikiza ma antibodies apadera kwambiri (asilikali) otengedwa kuchokera m'magazi a anthu ambiri athanzi omwe kale anali ndi ndulu ndipo adachira bwino. Izi zikutanthauza kuti mukabaya mankhwalawa, thupi lanu limalandira ma antibodies ambiri okonzeka omwe amatha kulimbana ndi kachilombo ka ndulu.
Chofunika kwambiri n’chakuti izi siziletsa nthenda ya nkhuku 100%. Komabe, ngati nthenda ya nkhuku ichitika, imachepetsa kwambiri kuopsa kwake, chiopsezo cha mavuto, komanso nthawi ya matenda.
Mankhwalawa angapezeke pamsika pansi pa mayina a makampani monga `(VARIZIG)`.
Zinthu zomwe muyenera kuuza dokotala wanu musanalandire chithandizochi
Izi ndizofunikira kwambiri. Musanakupatseni mankhwala awa, ndikofunikira kuti dokotala wanu adziwe mbiri yanu yonse ya thanzi. Ngati muli ndi vuto lililonse lomwe latchulidwa patebulo ili m'munsimu, onetsetsani kuti mwawauza.
| Matenda anu | N’chifukwa chiyani n’kofunika? |
|---|---|
| Matenda otuluka magazi | Popeza iyi ndi jakisoni mu minofu, muyenera kusamala ndi chiopsezo cha kutuluka magazi. |
| Matenda a shuga | Nthawi zina kuchuluka kwa shuga m'magazi kungakhudzidwe. |
| Mbiri ya matenda a mtima, cholesterol yambiri, kapena magazi kuundana | Ngakhale kuti sizichitika kawirikawiri, chiopsezo cha magazi kuundana chingawonjezeke. |
| Kusowa kwa IgA | Uwu ndi matenda enaake a chitetezo chamthupi. Anthuwa akhoza kukhala pachiwopsezo cha ziwengo zoopsa. |
| Kuchepa kwa chiwerengero cha maselo a m'magazi | Matenda monga kuchepa kwa maselo oyera m'magazi, maselo ofiira amagazi, kapena ma platelet. |
| Ngati mwalandira katemera posachedwapa kapena mukuyenera kulandira katemera | Mankhwalawa angakhudze momwe katemera wina amagwirira ntchito. |
| Mtundu uliwonse wa ziwengo | Tiuzeni za ziwengo zilizonse zomwe muli nazo pa mankhwala awa, mankhwala ena, kapena zakudya. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena ndinu mayi woyamwitsa | Pazochitikazi, ndikofunikira kwambiri kulankhula ndi dokotala wanu za ubwino ndi kuipa kwa chithandizo. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Iyi si mankhwala omwe mungapite nawo kunyumba. Iyi ndi jakisoni yomwe imaperekedwa m'minofu yanu ndi katswiri wa zaumoyo kuchipatala kapena kuchipatala .
- Kwa ana aang'ono: Ngati mukupereka mankhwalawa kwa mwana wanu, lankhulani ndi dokotala wanu wa ana za izi. Ngakhale ana obadwa kumene angapatsidwe mankhwalawa nthawi zina, koma njira zapadera zodzitetezera ziyenera kutsatiridwa.
- Ngati mwamwa mankhwala ochulukirapo mwangozi: Izi sizingachitike chifukwa zimaperekedwa kuchipatala. Komabe, ngati zitachitika, dziwitsani nthawi yomweyo National Poisons Information Centre ku Colombo National Hospital kapena Emergency Treatment Unit (ETU) za chipatala chapafupi.
- Kugawana: Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.
Mfundo zapadera zomwe muyenera kuzidziwa
Kodi tiyenera kuchita mantha chifukwa chakuti yapangidwa kuchokera ku magazi a munthu?
Inde, mankhwalawa amapangidwa kuchokera ku magazi a anthu. Chifukwa chake mwina mukudabwa ngati angathe kufalitsa matenda. Koma musadandaule. Anthu omwe amapereka magazi awa ndi magazi omwe amalandiridwa amayesedwa mosamala kwambiri komanso njira zapadera kuti achotse mavairasi ndi zinthu zina. Pakadali pano, palibe malipoti a matenda omwe ayambitsidwa ndi mankhwalawa. Komabe, chonde kambiranani mafunso aliwonse omwe mungakhale nawo pankhaniyi ndi dokotala wanu.
Zotsatirapo zoyipa za katemera
Izi ndizofunikira kwambiri. Mukatenga `Immune Globulin` iyi, imatha kuchepetsa mphamvu ya katemera wa kachilombo kamoyo . Katemera monga katemera wa chikuku, mumps, rubella (MMR), ndi katemera wa chickenpox ali m'gulu ili.
Choncho, ngati mukuyenera kulandira katemera wina mkati mwa miyezi itatu mutatenga mankhwalawa, onetsetsani kuti mwadziwitsa dokotala amene akukupatsani katemerayo. Mungafunike kulandira mlingo wowonjezera (`booster dose`) kapena kusintha nthawi yoperekera katemera.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina mwa anthu ena. Ngakhale kuti ambiri mwa iwo ndi ang'onoang'ono, pali zinthu zina zomwe tiyenera kusamala nazo kwambiri.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zinthu zoti muuze dokotala wanu kapena ETU nthawi yomweyo | |
| Zotsatira zoopsa za ziwengo | Kutupa pakhungu, kuyabwa kwambiri, kutupa kwa nkhope, milomo kapena lilime. |
| Kuvuta kupuma, kupweteka pachifuwa, kutupa mwendo | Izi zitha kukhala zizindikiro za magazi kuundana m'mitsempha yamagazi. Pitani kuchipatala nthawi yomweyo. |
| Ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Kumva kuzizira (Kuzizira) | Zitha kuchitika ndi malungo pang'ono. |
| Mutu | Kawirikawiri zimachepa mkati mwa tsiku limodzi kapena awiri. |
| Ululu pamalo obayira jakisoni | Ndi zachilendo kumva kufiira, kupweteka pang'ono, kapena kutupa pamalo omwe jakisoni amaperekedwa. |
Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto lililonse lachilendo, lankhulani ndi dokotala wanu za vutoli.
Uthenga Wopita Nawo Kunyumba
- Katemera wa Varicella-Zoster Immune Globulin ndi katemera wapadera woperekedwa kwa anthu omwe ali pachiwopsezo cha mavuto aakulu chifukwa cha nthenda ya chickenpox (monga omwe ali ndi chitetezo chamthupi chofooka kapena amayi apakati) kuti achepetse kuopsa kwa matendawa.
- Ngakhale kuti imapangidwa kuchokera ku magazi a anthu, chiopsezo chofalitsa matenda n'chochepa kwambiri chifukwa njira zotetezeka kwambiri zimatsatiridwa.
- Musanagwiritse ntchito mankhwalawa, ndikofunikira kuuza dokotala wanu za matenda anu onse ndi mankhwala ena omwe mukumwa.
- Ngati mukulandira katemera wina (makamaka MMR) mutalandira katemerayu, dziwitsani dokotala wanu.
- Fufuzani thandizo lachipatala mwamsanga ngati mukuvutika kupuma, kupweteka pachifuwa, kapena zizindikiro zoopsa za ziwengo.
- Ngati muli ndi mafunso okhudza thanzi lanu, musazengereze kukambirana ndi dokotala wanu.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Katemera wa Varicella Zoster Immune Globulin (VZIG / VariZIG) ndi mankhwala amphamvu kwambiri operekedwa ku matenda ati?
Iyi si katemera wamba/piritsi! Iyi ndi katemera wamphamvu wopulumutsa miyoyo (Passive Immunization) padziko lonse lapansi womwe ungateteze/kuletsa katemera wa nkhuku mwa anthu omwe adakumana ndi munthu yemwe ali ndi katemera wa nkhuku (Chickenpox / VZV), koma omwe ali pachiwopsezo chachikulu chofa ngati atadwala katemera wa nkhuku, mwa anthu omwe chitetezo chamthupi chawo sichikuyenda bwino, mwa amayi apakati, komanso mwa makanda obadwa kumene ndi makanda osakwana nthawi!
💬 Kodi tingapewe bwanji matenda a nkhuku m'thupi mwathu popereka katemerayu (VariZIG) pamene tili pafupi ndi wodwala matenda a nkhuku?
Katemera wamba amalowetsa kachilombo m'thupi mwathu kenako amapanga gulu la ma antibodies (zomwe zimatenga milungu ingapo). Koma munthu amene watsala pang'ono kufa alibe nthawi yokwanira! Katemerayu ali ndi 'gulu la ma antibodies a IgG okonzeka 100% otengedwa kuchokera kwa anthu athanzi (plasma)! Atangolandira jekeseni, gululo limapita m'thupi lonse ndipo nthawi yomweyo limagwira ndikuwononga kachilombo ka nthenda ya nkhuku komwe kalowa m'thupi.
💬 Kodi ndi 'zoopsa zoopsa' ziti (Chenjezo la Black Box) zomwe anthu omwe amalandira mankhwalawa (VZIG) ayenera kudziwa?
Choopsa chachikulu komanso choopsa kwambiri ndichakuti popeza izi zimapangidwa kuchokera ku plasma ya anthu 100%, pali mwayi wochepa woti wodwalayo ayambe kukhala ndi vuto la ziwengo ndikufa nthawi yomweyo. Komanso, ngakhale nkhuku italephera kukula atalandira katemerayu, popeza imatenga milungu ingapo yokha (chitetezo chokha), nkhuku ikhoza kubwereranso mtsogolo (sichichira kwamuyaya).
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